| NPI | 1568722858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 02005689A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KY 04553) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2021-11-10 |